Individual provider · Type 1 NPI

Bon J. Rush, LSAA

Addiction (Substance Use Disorder) Counselor · Mescalero, NM

NPI number 1104670694 Active

Practice location

107 Sunset Loop
Mescalero, NM 88340

Call (575) 464-2827 Map

Fax (575) 464-4321

Mailing address

212 Sunny Slope Dr
Ruidoso, NM 88345-7258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2023-0647 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104670694

Bon J. Rush, LSAA's National Provider Identifier is 1104670694, issued on Apr 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mescalero, NM. The record was last updated on Apr 12, 2024.